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Permit -- . CITYOF TIGARD P CIRYOF WARD OMMU0N0YDEVELOPMENT DEPARTMENT MASTER PERMIT �n�usmwwmow� p���wcouorr4��.m�p�orx�ymm}aoo��rs �� ^/ ' .. .~ PERMIT # ^ MST92-0265 ' 639-4171 � DATE ISSUED: 01/27/92 SITE ADDRESS...: 12250 SW LANSDOWNE LN PARCEL: 2S103BC-07100 SUBDIVISION....: FYRESTONE ZONING: R-4.5 . BLOCK ^ LOT.. ...... .....:10 . - - ---- BUILDING -- REISSUE: DWELLING UNITS:1 BASEMENT.... .... :0 sf CLASS OF WORK.:NEW BEDRMS:4 BATHS:3 GARAGE. ..... ....:600 sf TYPE OF USE...:SF FLOOR AREAS REQUIRED SETBACKS TYPE OF CONST. :5N FIRST. . . . :1333 sf LEFT.. :10 ft RIGHT. :12 ft OCCUPANCY GRP.:R3 SECOND...:1049 sf FRONT.:20 ft REAR..:35 ft STORIES.......:2 THIRD :0 sf REQUIRED- HEIGHT........:28 ft TOTAL :2382 sf SMOKE DETECTORS.:Y FLOOR LOAD ^40 psf VALUE $^ 120372 PARKING SPACES..:1 Remarks: PATH I • PLUMBING SINKS..........:1 FLOOR DRAINS....:0 BACKFLOW PREVNTRS..:0 LAVATORIES ^4 WATER HEATERS—.:1 TRAPS......... ..... :0 TUB/SHOWERS. . . . :3 LAUNDRY TRAYS. . . : 1 CATCH BASINS. . . . . —20 :0 WATER CLOSETS..:3 SEWER LINE (ft).:0 GREASE TRAPS ^0 . DISHWASHERS....:1 WATER LINE 4ft>.:100 OTHER FIXTURES ^0 GARBAGE DISP...:1 RAIN DRAIN (ft).:0 WASHING MACH,..:1 SF RAIN DRAINS..:1 • -------- MECHANICAL FEES FUEL TYPES UNIT HTRS..:0 tYpe amount by date recpt /GAS/ / / VENTS ^0 BPRT $ 485.50 JH 01/27/93 0 MAX INPUT:0 BTU VENT FANS..:4 BPLC $ 315.58 JLH 11/10/92 92-233588 FURN < 100K ..:0 HOODS....'..:1 B5PC $ 24.28 JH 01/27/93 0 FURN >=100K ..:1 .WOODSTOVES. :0 SSDC $ 280.00 JH 01/27/93 0 FLOOR FURN..... :0 CLO DRYERS.: 1 PARK $ 500.00 JH 01/27/93 0 BOIL/CMP < 3HP:0 OTHER UNITS:1 MPRT $ 45.00 JH 01/27/93 0 ' GAS OUTLETS:-1 MPLC $ 11.25 . JH 01/27/93 0 Owner: 115PC $ 2.25 JH 01/27/93 0 MAJESTIC HOMES . PPRT $ 155.00 JH 01/27/93 0 25 SE 82ND DRIVE P5PC $ 7.75 JH 01/27/93 0 TIFF $ 1460.00 JH 01/27/93 0 GLAD8TONE OR Phone #: 655-6263 , Contractor: MAJESTIC HONES INC 25 82ND DR SUITE 102 • GLADSTONE OR . Phone #: 503-655-6263 ' Reg #.. : 59286 _ $ 3286.61 TOTAL • . This permit is issued subjat to the regulations contai in the REQUIRED INSPECTIONS Tigard Municipal Code, State of Ore. Foot/fbund Insp Fireplace Insp applicable laws. All work will be '' Post/Beam Struct Gas Line Insp plans. This permit will expire if ' Post/Beam Meehan Insulation Insp days of issuance, or if work is sus Plm/undslab Insp G yp Board Insp - - � - PLM/Underfloor :Rain' drain I�ns z Permittee Signature: ' ^� � Mechanical Insp Water Line Insp r Plumb Top Out Appr/Sdwlk Insp Issued By: Framing Insp Mechanical Final Call for inspection - 639-4175 ' -2 2S 8 CITY OF TIG.ARD 1 312 5 SWHa3B�d. PLNCK /RECT # 2- P° B°K 23397 COMMUNITY DEVELOPMENT DEPARTMENT 'Iiga(d,occgon97223 PERMIT # /7/5/92- CJ 02&5.----- (503) 639-4171 DATE ISSUED ± JOB ADDRESS: /.2.2S0 Sa,/ l s (ro,,_ ,, L r\ TAX MAP /LOT .23 / 0 3 QG- v 7/ UU SUB: ty-..e sA... LOT: is LAND USE: VALUATION: /ao 37,1 , OWNER SPECIAL NOTES NAME: PUIA- - r? c- REISSUE OF: ADDRESS: Zs va LAST REISSUE: FLOOD PLAIN/ PHONE: SENSITIVE LAND: CONTRACTOR APPROVALS REQUIRED NAME: PLANNING: ADDRESS: ENGINEERING: FIRE DEPT:. ,, PHONE: OTHER: -1// F (, IA'VO� gam ' CONTR. BOARD #: Yi Z g EXP DATE: ITEMS REQUIRED SUBCONTRACTORS: PLUMB: •,M _ P - --I I LIST /SUBCONTRACTORS: MECH: c 441 BUS TAX: ARCH /ENGINEER CALCULATIONS: NAME: • } TRUSS DETAILS: ADDRESS: is r LA3 7 OTHER: ib PHONE: PROPOSED BLDG. USE: -IL COMMENTS: ∎t_ APPLICANT SIGNATURF Received By Date Received: lI /7, (�.Z_ PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. BAL. DUE h757/9Z - 0265 10 - 432 00 Building Permit Fees AFSS "#6 • 3-1/ 10 -431 00 Plumbing Permit Fees /53 ' / ` / n.) 10 - 431 01 Mechanical Permit Fees 4, a ' ) 137 10 -230 01 State Building Tax (5 %) 3V.21! / 3 4/,2e Building � ,z4Y Plumbing 7, 7r Mechanical 2, 2- • 10 -433 00 Plans Check Fee 3,24,13 25Z) 7(, 2 3 Building j/ ' .i 5 K Plumbing Mechanical / / - a) 10 -230 06 Fire 5"cv4ejz -o3q f 30 -202 .00 Sewer Connection 01/00 ,2/o 0 30 -444 00 Sewer Inspection 3 S !' 36 - 25- 448 -02 Commercial TIF Fees 25- 4 -04 Industrial TIF Fees sue -',->. 25- 448 -06 Institutional TIF Fees 25- 448 -03 Office TIF Fees 25- 448 -01 Residential Traffic Fees �p� /3-5"0 rt 25- 448 -05 Mass Transit TIF Fees - � � /10 52 -449 00 :Parks System Oev Charge (PDC) S6 ---' - . Soo 31 -450 00. Storm Drainage Syst Dev Chrg (SSDC) :. .- ... •v ... r* :.::'..? ._ - 24-445-01, Water (Fee in lieu of) 24- 445 -02. Water Quantity (Fee in lieu of) . ;.: TOTAL �. � J :. -,_,,,.... . - . , . 12-222fil :: . WPF ?:; INSPECTION NOTICE City of Tigard Building Department 13125 SW Ball Blvd. Tigard, Oregon 97223 Inspection Line (Rec- O- Phone): 639 -4175 Business Phone: 639 -4171 Inspection: Footing Plbg. Underslab Mech. Rough -in Appr /Sdwlk Found. Plbg. Top Out Gas Line 6;4;22 Post /Beam Struct. San. Sewer Framing Bldg. Post /Beam Mech. Rain Drain Insulation - Plumb. Plbg. Underfloor Water Line l ine Gyp. Bd. -Mech. Date Requested: 1v -2-2 ' 3 Time: AM PM Address: L 2 - 5 D - La-4^-Q- / � - Permi t 10 2---62-49C- Builder: tV d e* 1 1-6W) � �q L � 3 TBE FOLLOWING CORRECTIONS ARE REQUIRED: Inspector: Date: /n '"APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE Call For Reinap.